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Jerri Ashley Waller, MD
Obstetrics & Gynecology Physician in Norfolk, Virginia
NPI 1386006286

Jerri Ashley Waller is a Obstetrics & Gynecology Physician based in Norfolk, VA. Jerri Ashley Waller practices in Norfolk, VA and has the professional credentials of MD. The NPI Number for Jerri Ashley Waller is 1386006286 and holds a License No. (Virginia).

The current practice location address for Jerri Ashley Waller is 825 Fairfax Ave, Norfolk, VA and can be reached out via phone at 757-446-7900.

Location: 825 Fairfax Ave, Norfolk, VA, 23507-1914
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386006286
Provider Name
Jerri Ashley Waller
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
825 Fairfax Ave, Norfolk, VA, 23507-1914
Phone Number
757-446-7900
Fax Number
Provider Enumeration Date
03/22/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101269989 01 VA VIRGINIA BOARD OF MEDCINE MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
825 Fairfax Ave
City
Norfolk
State
Virginia
Zip
23507-1914
Phone Number
757-446-7900
Fax Number
person
Provider Business Mailing Address Details
Address
825 Fairfax Ave
City
Norfolk
State
Virginia
Zip
23507-1914
Phone Number
757-446-7900
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
01269989 (Virginia)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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